Exhibit 10(d)
MANAGING GENERAL AGENT’S
AGREEMENT
This Managing General Agent’s
Agreement (this “ Agreement ”) is made effective
the 1st day of January, 2005 (the “ Effective Date
”), by and between ALFA VISION INSURANCE CORPORATION, an
Alabama stock insurance company (the “ Insurer
”), and THE VISION INSURANCE GROUP, LLC, a Tennessee limited
liability company (the “ MGA ”).
IN CONSIDERATION of the mutual
promises made herein, and other good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, the
Insurer and the MGA agree as follows:
ARTICLE I –
PREAMBLE
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1.
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This Agreement
contains the entire agreement of the Insurer and the
MGA.
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2.
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This Agreement
will not become effective until signed by the Insurer and the MGA
and is filed with and approved by the Commissioner of Insurance of
the State of Alabama.
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ARTICLE II – APPOINTMENT
OF MGA
The Insurer hereby appoints MGA as a manager for
the Insurer as follows:
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1.
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Lines of
Insurance . The MGA is
hereby authorized to accept, bind, issue, and process endorsements,
on forms approved by the Insurer, applications, binders and/or
policies (the “ Policies ”) written by or
through sub-producers (as defined below) for classes of insurance
described as private passenger automobile insurance policies, in
accordance with the Insurer’s underwriting procedure manuals
and guidelines.
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2.
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Limits and
Restrictions . The
Policies shall have the policy limits and be subject to the other
terms and restrictions (including, without limitation, limits on
claims settlements) set forth in Exhibit A to this
Agreement.
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3.
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Territory . The MGA shall be authorized to write the
Policies in the jurisdictions set forth in Exhibit
A.
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4.
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Exclusivity . The MGA shall have the authority to continue
servicing insurance policies that it solicited on behalf of
insurance companies other than the Insurer prior to the Effective
Date. Otherwise, after the Effective Date, the MGA shall not
solicit or service private passenger automobile policies for any
insurance company other than the Insurer, without the prior written
consent of the Insurer, which shall not be unreasonably
withheld.
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ARTICLE III –
MGA’S DUTIES AND RESPONSIBILITIES
The MGA shall faithfully perform all of its
duties to the best of its professional knowledge, skill and
judgment. The MGA’s duties include the following:
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1.
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Solicitation . To solicit Policies of private passenger
automobile insurance that, in their pricing and insurability, meet
or exceed the underwriting and pricing standards established by the
Insurer from time to time and conveyed to the MGA in
writing.
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2.
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Servicing
Business . To direct and
implement the production, underwriting, premium collection,
accounting, statistical and other work necessary or incidental to
the insurance business written under this Agreement; and to provide
for all usual and customary services to independent sub-producers,
insureds and policyholders, including, without limitation, delivery
of policies, return of premiums due insureds or policyholders in
MGA’s possession, premium audits on policies, timely and,
appropriate responses to inquiries and complaints from
sub-producers, insureds, policyholders or members of the public,
and comply with any reasonable service standards as may be set
forth in writing by the Insurer and delivered to the MGA from time
to time.
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3.
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Competent
Staff . To maintain
sufficient supplies and equipment and a staff of competent and
trained personnel, to produce, develop, underwrite and supervise
the business covered by this Agreement.
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4.
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Premium
Rates . To quote accurate
premiums and rates for the Policies in compliance with applicable
rating manuals or written rating plans provided by the Insurer to
the MGA, or such plans developed by the MGA and approved by the
Insurer, in all instances in compliance with applicable state laws
and regulations.
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5.
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Policy
Forms . To develop,
formulate and file on behalf of the Insurer policy forms, rates and
rules, and all other reports and filings, as may be required by the
regulatory authorities. The MGA shall receive written approval from
the Insurer before making any such filing, and the Insurer shall
respond to any request for such approval within fifteen days of
receipt of request.
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6.
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Compliance
with Manuals . To comply
fully, timely and promptly with all manuals, rules, regulations,
guidelines, instructions and directions issued by the Insurer
relating to the Policies.
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7.
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Binding of
Risks . To bind risks
only in accordance with the terms of Exhibit A and any other
underwriting and pricing standards from time to time established by
the Insurer in writing and provided to the MGA, to report all risks
bound in accordance with the terms of Exhibit A , and to
forward to the Insurer for acceptance all other risks.
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8.
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Policy
Issuance . To timely and
properly issue, deliver and execute or countersign Policies,
including endorsements, binders and related documents, on forms
approved by the Insurer and required regulatory
authorities.
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9.
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Policy
Cancellation . To cancel
or non-renew Policies for cause in accordance with their terms and
in compliance with this Agreement, subject to the requirements
imposed by law, and file the required related reports with
appropriate insurance regulatory authorities; provided, however,
that this shall not preclude the MGA from exercising its discretion
to cancel or non-renew any Policy so long as the MGA acts in
compliance in all respects with the terms of the Policy and all
applicable laws and guidelines of the Insurer. The Insurer shall
have the right to cancel or not renew any policy of insurance
subject to the applicable laws and regulations concerning the
cancellation and non-renewal of insurance policies.
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10.
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Sub-Producers . To accept Policies on behalf of the Insurer
written by properly licensed and qualified, professional insurance
agents, solicitors and brokers (“ sub-producers
”), and to direct, supervise and coordinate the efforts of
sub-producers. The MGA shall be solely responsible for payment of
all commissions earned by sub-producers. The MGA shall accept
Policies only from sub-producers who have agreed in advance and in
writing to return unearned commissions on cancelled Policies and to
the statutory waiver contained in Article XV of this
Agreement.
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11.
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Sub-Producers Errors and Omissions
. To maintain valid evidence of each
sub-producer’s professional errors and omissions coverage (a
policy or certificate of insurance) that covers all activities
contemplated herein and specifically includes coverage for
violations of Unfair Trade Practices Acts and bad faith, in an
amount not less than $300,000 with a deductible not greater than
$5,000.
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12.
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Premiums . To charge, collect, receive and receipt all
premiums, including premium surcharges, fire district and other
taxes or assessments levied by any jurisdiction and required to be
collected in addition to stated premiums, due on all Policies bound
or written under this Agreement, and pay the Insurer in accordance
with Section III.14.
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13.
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Credit
Extensions . To maintain
the following procedure for handling uncollected premium balances
on insureds’ accounts: after the premium has been billed and
is due from the insured for more than seventy days, the MGA shall
systematically waive the balance due premium off of the
insured’s account, thus reducing the balance due to zero. The
MGA shall have no responsibility for these waived balances unless
they result from a processing delay or system error caused by the
MGA. For computation of provisional commissions described in
Exhibit A , premium chargeoffs or waivers will be considered
as a reduction of premium. However for reporting purposes, the
premium shall be reported gross of any waived balances. The MGA
shall be responsible for any and all bad debts that may occur in
dealing with the retail agents (such as non-sufficient funds
activity).
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14.
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Accounting . To timely account for the Policies as
follows:
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a.
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Establish and
maintain true, accurate and complete books, records and accounts of
all transactions arising under this Agreement in accordance with
all applicable laws and with the directions and requests of the
Insurer. The Insurer will have access to and the right to copy all
such books, records and accounts at all times.
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b.
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Collect,
compile and timely transmit to the appropriate reporting agencies
all statistical, underwriting and claims data and information,
including, but not limited to, premium and loss information in a
format and at such frequency as may be determined by the respective
reporting agency and the Insurer. This data and information shall
be furnished to the Insurer in an electronically transmittable
format determined by the Insurer at no extra charge to the Insurer.
The Insurer may assume the duties of reporting statistical data at
its discretion.
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c.
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Provide the Insurer with a
monthly accounting (a “ bordereau ”) detailing
all transactions and insurance written under the Policies,
including, but not limited to, (i) gross written premium, (ii) net
written premium, (iii) Policies issued or bound by insured
including location, limits and effective date, (iv)
Policies
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canceled, (v) premium adjustments
due to endorsements, audits or otherwise, (vi) commissions payable
to or retained by MGA, (vii) net balance due, (viii) premium
surcharges, fire district and other taxes or assessments levied by
any jurisdiction, and (ix) deposits (escrow funds) by
Policy.
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d.
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Pay to the
Insurer balances due (including deposits (escrow fund) within
thirty days of the end of each calendar month for which the
bordereau is transmitted. The omission from any statement or
bordereau of any item due to the Insurer shall in no way modify or
otherwise affect the responsibility of the MGA to account for and
pay the Insurer any and all premiums, net of commission, or any
other monies due the Insurer, nor shall the omissions prejudice the
right of the Insurer to collect any and all sums to which it is
entitled.
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e.
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The MGA shall
handle balances due from the insured as described in Section
III.13. The MGA shall continue to be responsible for any balances
collected from the insureds by the sub-producers.
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15.
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Fiduciary
Capacity – Premium Trust Funds . To act as fiduciary for the Insurer and to
hold all premiums and any other amounts collected and received on
Policies for the Insurer in a fiduciary account separate and apart
from all non-premium trust funds of the MGA or others in a bank
which is a member of the Federal Reserve System and insured by the
Federal Deposit Insurance Corporation and which is approved in
writing by the Insurer. The bank account shall be designated by the
MGA in such a manner as to establish clearly that the MGA is
holding and acting as trustee for the Insurer with respect to the
funds in the account. The account shall be designated
“Premium Fund Trust Account – [name of Insurer]”
on bank records, and shall only be used for transactions involving
the Insurer. No other insurance companies’ premium funds may
be intermingled in this account except for transmittals received
from retail agents that may have multiple MGA carriers listed on
it. Interest or other income, if any, accruing on these premium
trust funds may be retained by the MGA for its own account so long
as the MGA is current in all accounts with the Insurer. The trust
funds so held may be used by the MGA as necessary to return and
refund premiums, net of return commissions, to policyholders or
their authorized representatives. The account shall be subject to
periodic audits performed by the Insurer at its election. If the
MGA fails to pay the Insurer any premiums or monies when due, or
fails to comply with applicable premium trust fund laws and
regulations, such failure shall constitute a breach of and default
under this Agreement.
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16.
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Insurer
Property; Confidentiality . To promote and safeguard at all times as a
fiduciary the best interests and good name of the Insurer and to
safeguard, maintain and account for all Policies, forms, manuals,
information, equipment, supplies or anything else furnished by the
Insurer, all of which shall remain the property of the Insurer. The
MGA shall return all of the Insurer’s property to the Insurer
promptly upon demand. The materials or information furnished by the
Insurer to the MGA may contain proprietary or confidential
information of the Insurer, and the MGA shall not disclose such
proprietary or confidential information to any other person, or use
such information other than as set forth in this Agreement, without
the express written consent of the Insurer’s CEO or Board of
Directors.
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17.
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MGA Expenses
. To pay, to assume the obligation
for and to be fully responsible for all costs and expenses
associated with the MGA’s performance under this
Agreement
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(unless resulting specifically from
written guidance of the Insurer), including, without limitation,
sub-producer commissions, loss control reports, premium audits,
regulatory examinations and related fees, fines and settlement
costs, policy and policy jacket printing, motor vehicle reports,
travel expenses, employee compensation, countersignature fees and
expenses, postage, advertising and license fees. The Insurer shall
be responsible only for its own costs and expenses, unless
otherwise agreed by the Insurer, and the Insurer shall be
responsible for all assigned risk, buy-out costs and any guaranty
fund assessments levied by any state or regulatory body. In the
event the Insurer is required to pay any costs or expenses that are
the responsibility of the MGA, the MGA shall promptly reimburse the
Insurer for its payments. Notwithstanding any of the foregoing, the
MGA shall be responsible for state insurance department examination
fees and costs only in the states to which this Agreement applies
and only up to a maximum of $30,000 per examination, unless the
examination results in fines causing total fees and costs to exceed
$30,000, in which event the MGA shall pay any additional amounts
that the report states are the direct result of the MGA’s
operations.
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18.
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Licenses . To maintain and provide the Insurer with
copies of all licenses and permits required by the MGA for the
proper conduct of MGA’s duties under this Agreement. The MGA
shall not transact any business in any jurisdiction covered under
this Agreement unless and until the MGA has obtained all required
licenses and permits and is properly appointed to represent the
Insurer in such jurisdiction.
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19.
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Legal
Compliance . To keep
fully informed of and comply with all applicable laws and
regulations, including, without limitation, all laws and
regulations applicable to insurance producers in the jurisdictions
where the Policies are issued. The MGA shall not solicit or bind
any risks in any jurisdiction until all applicable laws,
regulations and ISA/NCCI or other bureau rules have been complied
with.
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20.
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Governmental
Contacts . To notify the
Insurer promptly of all correspondence and other communications
from and contacts with insurance regulatory or other governmental
authorities relating to the insurance and activities that are the
subject of this Agreement; to forward to the Insurer promptly upon
the MGA’s receipt all summonses, complaints, subpoenas or
other court documents relating to the insurance and activities that
are the subject of this Agreement; and to cooperate fully with the
Insurer in making any responses. The MGA shall have no authority to
represent the Insurer in regulatory matters and shall not respond
to any governmental action except as the Insurer may direct or as
required by law. Responses to department of insurance complaints
shall be handled as agreed to in writing by MGA and the Insurer to
assure prompt response.
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21.
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Premium Financing
. To use premium financing through
unaffiliated licensed premium finance companies on the Policies.
Notwithstanding paragraph 13 above, the MGA shall remit one hundred
percent of the financed premium to the Insurer, and in no event
shall the MGA hold any such financed premiums longer than allowed
by Section III.14 above. The MGA shall provide all services related
to premium financing, including, without limitation, promptly and
appropriately responding to all correspondence and notices related
to such premium financing, and ensuring compliance with all
applicable consumer protection laws, regulations or rules (such as
the Truth-in-Lending Act and any applicable state premium finance
laws). The MGA shall ensure that all applicable refunds of premium
due to premium finance companies shall be made, and the MGA shall
be liable for and hold harmless and indemnify the Insurer against
any such amounts
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improperly paid to the insured, or
for refunds not made to the insured or to the premium financed
company in accordance with the appropriate governing
law.
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22.
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Insurer
Interface . To interface
at all times with the Insurer or its designated affiliates through
electronic data processing hardware and software, networks and
communication lines and other means as specified in writing and in
advanced by the Insurer.
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23.
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Copies of
Policies . To maintain in
each insured’s files (either in hard copy or electronically)
all Policies, endorsements, rating worksheets and related
documents, Policy cancellations and other terminations processed by
the MGA.
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24.
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Accurate
Records . To keep and
maintain during the term of, and for a period of seven years after
termination of, this Agreement separate, identifiable, orderly,
accurate, complete and timely records and accounts of all business
and transactions pertaining to Policies bound or written under this
Agreement, including, without limitation, complete underwriting,
rate and claims files. Such records and files shall be the property
of the Insurer, however, the MGA shall be entitled to retain a copy
of said records and files. Upon request by the Insurer or any
insurance regulator having jurisdiction over the Insurer, all
records and reports maintained pursuant to this Agreement shall be
provided as hard copies or in electronic format usable by the
Insurer or such regulator.
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25.
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Audit . To permit the Insurer and its authorized
representatives (including, without limitation, any insurance
regulator having jurisdiction over the Insurer), during the term of
this Agreement and for a period of seven years after termination of
this Agreement, to visit, inspect, examine, audit, verify and copy
the properties, accounts, premium trust funds, files, documents
books, reports, work papers and other records belonging to or in
the control of the MGA or of any other person relating to the
business covered by this Agreement; provided that such activities
shall be conducted at the MGA’s offices, during the
MGA’s normal business hours and upon not less than two
business days’ notice from the Insurer; and provided further
that the Insurer shall have the right to conduct such activities at
any time or times in its sole discretion. The MGA shall also submit
to any independent financial examination in such format as may be
requested by any insurance regulator having jurisdiction over the
Insurer.
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26.
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Financial
Statements . To furnish
the Insurer with an audited balance sheet, income statement and
statement of cash flows as of and for each fiscal year ending
December 31, not later than the following April 15, in each case
accompanied by the written opinion (containing no qualifications)
of a certified public accountant, where such accountant is
reasonably acceptable to the Insurer.
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27.
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Prohibited
Actions . The MGA shall
have no authority to do any of the following:
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a.
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Bind any
reinsurance or retrocession on behalf of the Insurer (including,
without limitation, facultative treaty reinsurance), or commit the
Insurer to participate in insurance or reinsurance pools or
syndicates.
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b.
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Appoint any
sub-producer without reasonable assurance that such sub-producer is
lawfully licensed to transact the insurance business for which such
sub-producer is being appointed.
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c.
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Collect any
payment from a reinsurer or commit the Insurer to any claim
settlement with a reinsurer, without prior approval of the Insurer.
If prior approval is granted, the MGA must promptly forward a
report of such transaction to the Insurer.
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d.
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Permit any of
the sub-producers to serve on the Insurer’s Board of
Directors; nor shall the Company appoint to its board of directors
an officer, director, employee, sub-producer or controlling
shareholder of its managing general agents. This subsection shall
not apply to relationships that are governed by an applicable
insurance holding company act or producer controlled insurer
act.
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e.
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Jointly employ
an individual who is employed by the Insurer.
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f.
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Appoint a
subordinate MGA or program administrator.
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g.
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Extend any
binding authority to any sub-producer, except for authority that is
granted under producer agreements executed with retail agents as
follows:
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(i)
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provide quotes,
bind coverage as specified by the MGA, solicit and accept
applications for the Policies;
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(ii)
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countersign and
deliver Policies, endorsements, certificates and
binders;
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(iii)
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collect,
receive and record receipt for premium;
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(iv)
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provide such
usual and customary services of an insurance agent on all contracts
of insurance as requested by the MGA.
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h.
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Without prior
approval of the Insurer, pay or commit the Insurer to pay, a claim
over a specified amount, net of reinsurance, that shall not exceed
one percent of the Insurer’s policyholder surplus as of
December 31 of the last completed calendar year.
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ARTICLE IV – CLAIMS
SETTLEMENT
The MGA’s authority, if any, to adjust,
compromise, settle or pay any claim made on the Policies written or
bound under this Agreement is set forth in Exhibit A and the
best practices manual developed jointly by the MGA and the Insurer
(the “ Best Practices Manual ”). In addition,
the following terms shall apply:
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1.
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The MGA shall
give timely notice to the Insurer of any claim or loss with respect
to the Policies and shall cooperate fully with the Insurer to, on a
timely basis, facilitate the investigation, adjustment, settlement
and payment of each and all claims and losses, and assign each
claim or loss for handling as may be directed in writing by the
Insurer.
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2.
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The MGA shall
assist the Insurer in the collection of deductibles due, salvage
and subrogation.
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3.
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The MGA shall
give immediate notice to the Insurer of any claim or suit in which
the Insurer or any of its affiliates is named as a defendant, in
which event the Insurer shall have the right to assume sole and
full control of the defense of such claim or suit.
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4.
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The MGA shall
not be reimbursed by the Insurer for the salaries, office expenses
or any other expenses incurred in the handling of claims unless
otherwise expressly agreed to in writing by the Insurer.
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5.
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The MGA shall
send the Insurer a copy of the claim file anytime at the
Insurer’s request and as soon as it becomes known that the
claim:
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a.
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has the
potential to exceed the lesser of (i) such amount as may be
determined by the insurance regulator of the jurisdiction where the
risk is located, or (ii) such other amount as the Insurer may
determine from time to time;
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b.
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involves a
coverage dispute;
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c.
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may exceed the
MGA’s settlement authority as outlined in Exhibit
A;
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d.
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is open for
more than six months;
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e.
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is closed by
payment of the lesser of (i) such amount as may be determined by
the insurance regulator of the jurisdiction where the risk is
located, or (ii) such other amount as the Insurer may determine
from time to time.
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6.
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Any claims
settlement authority granted to the MGA pursuant to Exhibit
A may be changed or terminated for cause upon the
Insurer’s written notice to the MGA. The claims settlement
authority granted to MGA may be terminated without cause at the
Insurer’s sole discretion upon 180 days written notice to the
MGA or upon termination of this Agreement. If the termination is
for cause, the Insurer may suspend the settlement authority during
the pendency of any dispute regarding the cause for termination.
Nothing in this paragraph is intended to relieve the MGA or the
Insurer of any other contractual obligation.
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ARTICLE V – GENERAL
DUTIES OF THE INSURER
The Insurer shall:
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1.
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Review all
statistical filings and underwriting data applying to the Policies
written under this agreement, provided that the MGA furnishes all
required information and data in a timely manner so as to enable
the Insurer to meet all time requirements. The Insurer may assume
the duties of reporting statistical data at its
discretion.
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2.
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Pay to the MGA
the commissions and fees to which it is entitled upon the
MGA’s monthly rendering of its account statement to the
Insurer, beginning at the end of the month in which this Agreement
becomes effective. The MGA is allowed to take commission
withdrawals throughout the month if the payment is not in excess of
the actual commission due.
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3.
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Conduct, at
least semi-annually and as often as the Insurer deems prudent, upon
reasonable notice and during normal business hours, an onsite audit
of the books, records and accounts of the MGA, including, without
limitation, those in the underwriting, claims and policyholder
operations, using either its own employees or independent outside
auditors.
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4.
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Observe and
comply with all applicable laws, regulations and rulings by any
governmental authority, agency, bureau or commission having
jurisdiction over the conduct of the business under this
Agreement.
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ARTICLE VI –
REPRESENTATIONS AND WARRANTIES
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1.
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The Insurer
hereby represents and warrants that the transactions contemplated
by this Agreement (i) are within the corporate powers of the
Insurer, (ii) have been duly authorized by all necessary corporate
action of the Insurer, (iii) constitute the legal, valid and
binding obligation of the Insurer, enforceable against it in
accordance with its terms, and (iv) do not conflict with, result in
a breach of any of the provisions of, or constitute a default under
the provisions of any law, regulation, licensing requirement,
charter provision, by-law or other instrument applicable to the
Insurer or its employees or to which the Insurer is a party or may
be bound.
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2.
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The MGA hereby
represents and warrants that:
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a.
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The
transactions contemplated by this Agreement (i) are within the
corporate powers of the MGA, (ii) have been duly authorized by all
necessary corporate action of the MGA, (iii) constitute the legal,
valid and binding obligation of the MGA, enforceable against it in
accordance with its terms, and (iv) do not conflict with, result in
a breach of any of the provisions of, or constitute a default under
the provisions of any law, regulation, licensing requirement,
charter provision, by-law or other instrument applicable to the MGA
or its employees or to which the MGA is a party or may be
bound.
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b.
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The MGA is
licensed as an agent or producer, and if necessary, a managing
general agent, in all jurisdictions where this Agreement
applies.
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c.
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The MGA has the
proper rights and interest in the business contemplated by this
Agreement in order to place the business under this
Agreement.
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d.
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The business
being placed under this Agreement is not subject to another
entity’s claim of interest, including, without limitation, a
claim by contract or common law rights.
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e.
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In placing
business under this Agreement, the MGA will not be in violation of
any duty or obligation owed to another entity.
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f.
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The
underwriting guidelines to be utilized by the MGA with respect to
the Policies are now and will continue to be in conformity with the
applicable statutes, regulations, rules, bulletins and opinions in
the various jurisdictions where business under this Agreement will
be conducted.
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ARTICLE VII –
MGA’S COMPENSATION
The Insurer will pay the MGA as full
compensation for all of its duties and responsibilities under this
Agreement the amounts set forth in Exhibit A. This Agreement
provides for a sharing of profits by the MGA. The specific terms of
such profit sharing are set forth in Exhibit A.
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ARTICLE VIII –
ADVERTISING
The MGA shall not refer to the Insurer or any of
its affiliates in any advertising, letter, circular, pamphlet or
other publication or statement without the prior written consent of
the Insurer. The Insurer shall not be responsible, under any
circumstances, for any advertising expenses.
ARTICLE IX –
REPRESENTATIONS WITH RESPECT TO POLICIES
The MGA shall not make, or knowingly permit any
sub-producer or other person to make, any representation to
applicants, insureds, policyholders or claimants as to the
existence or extent of coverage either available from the Insurer
or under a Policy that is inconsistent with the terms and
conditions of the applicable Policy or inconsistent with coverages
available from the Insurer. The MGA shall establish procedures
designed to ensure that the MGA and its employees will make known
to any applicant, insured or policyholder the full scope and effect
of all exclusions and limitations upon or under coverage provided
under the Policies and advise sub-producers of their existing
statutory obligations and the MGAR
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